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MoDOT & Patrol Employees'
Retirement System
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Employer Forms
Backdrop Brochure 
Change of Personal Information 
Disability Packet 
To apply for disability through The Standard.
Divorce Brochure 
Membership Record 
MPERS Retirement Checklist 
Notification of Intent to Retire 
Use this form to apply for retirement. Step 1 of the 2 Step Retirement Process
Pop-Up Application 
To be completed in the event you selected a joint & survivor form of payment and your spouse precedes you in death and must be accompanied by the required documentation.
Special Tax Notice 
Survivor Application 
This form must be completed by the survivor and accompanied by the required documentation before the survivor can begin receiving benefit payments after retiree's death
Termination of Active Membership 
Mailing Address: PO Box 1930, Jefferson City, MO 65102-1930 • Office Location: 1913 William St., Jefferson City, MO 65109
Phone Number: (573) 298-6080 • Toll Free: (800) 270-1271 • Fax: (573) 526-5895 • Email: mpers@modot.mo.gov